Podcasts about Spasticity

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Send us a message about the podcast. For questions about MS please contact our helpline 0800 032 38 39Spasticity and spasms are common MS symptoms that vary from person to person and can be challenging to understand and manage.  In this episode, we explore how these symptoms can feel with the help of our MS community and what you can do about them.  We asked MS specialist physiotherapist Wendy Hendrie to share her near 40 years of experience with us.  We are very glad we did, because we learned such a huge amount. In fact, so much so that we can almost guarantee you will too in the next hour.  And this know-how could make a real difference to the way you understand and approach your spasticity and spasms.  She breaks these complex symptoms down in a way that's easy to follow. She explores trigger factors, including pain – even pain you can't feel due to loss of sensation – bladder and bowels, posture and positioning including pelvis alignment and head movement. Plus exercise, night spasms and the importance of getting medication reviews especially if you haven't seen your MS team in a while.Episode notesSpasticity and spasms - MS Trust informationWhat do MS spasticity and muscle spasms feel like? - MS Trust informationManaging spasticity and spasms - MS Trust informationDownload or order our free book on Managing spasticity and spasms - MS Trust informationLearn what may be triggering your spasticity and spasmsThrower B et al.Recognition, Description, and Variability of Spasticity in Individuals With Multiple Sclerosis and Potential Barriers to Clinician-Patient Dialogue: Results From SEEN-MSS, a Large-Scale, Self-Reported SurveyInternational Journal of MS Care. 2024; 26 (2): 75-80SummaryPeer support: join our MS Trust Facebook community (public group)Peer support: join our Advanced MS Care and Support Facebook community (private group) Spoon theory explanation video

This is a non-promotional podcast funded and developed by AbbVie for healthcare professionals only. The content of this podcast is correct at the time of recording, which is December 2024. The views expressed in this podcast are those of the individual speakers and do not necessarily reflect the view of AbbVie or EMJ If you are listening to this podcast through a podcast app, please note that any advertisements you may hear are not affiliated with this podcast or AbbVie in any way. To stop receiving podcast notifications, please unsubscribe from this series in your podcast player. The Post-Stroke Spasticity Classification System was created and funded by AbbVie with the assistance of a group of international experts in the field of Post-Stroke Spasticity, utilising both published risk factors and their own clinical experience. BONT-AA-00049-MC April 2025

"Cannabis in the Management of Multiple Sclerosis-Related Pain and Spasticity" From ASRA Pain Medicine News, November 2024. See the original article at www.asra.com/november24news for figures and references. This material is copyrighted. Support the show

Spasticity or what? Podcast o fizjoterapii Podcast based on a post by Joanna Tokarska https://joannatokarska.pl/spastycznosc-czyli-co/ Created using IA technology.

In this episode, our host Meghan Mardashti, OMS 4, interviews Dr. Cindy Ivanhoe, director of the Spasticity and Associated Syndromes of Movement (SPASM) program at TIRR Memorial Hermann. Dr. Ivanhoe shares her journey in PM&R, expanding on her passion for brain injury and spasticity management. Dr. Ivanhoe emphasizes the value of a multidisciplinary approach and offers valuable insights for aspiring physiatrists and medical students. Tune in for an inspiring conversation that blends knowledge and compassion in healthcare! Don't forget to leave a review and share what topics you'd like us to cover next. Website: www.aocpmr.org Instagram: @aocpmr Youtube: @AOCPMR

Listen in to Research Perch as MTF President Adrienne F. Asta speaks with Spencer Pon, Gold Winner of MTF's 2023 Student Case Report Contest, about his winning case report, Massage Therapy for Ankle Mobility and Spasticity in an Adult with Cerebral Palsy: A Case Report. Pon's research focused on the effectiveness of massage therapy in increasing ankle mobility and decreasing spasticity in an adult with spastic cerebral palsy (CP). Individuals with spastic CP commonly experience challenges such as increased deep tendon reflexes, tremors, and muscular hypertonicity. Through five massage therapy treatments administered over six weeks, Pon saw significant improvements in ankle mobility and a decrease in spasticity, offering promising insights into the potential benefits of massage therapy for individuals with CP.

Topics this episode are: Updates on my journey with Multiple Sclerosis, chest pain, MS hug, UTI, pain from heat, spasticity from cold and more. (I recorded this over a week ago so events are past but still prevalent). These are videos where I show my life and surroundings living with Multiple Sclerosis and talk about some MS related information or whatever I decide to talk about. I may talk about what is going on with me or look at stuff I get sent from people and companies and give my opinion about their thoughts and suggestions. I am not a doctor, check with a healthcare professional for any help you need. I am just giving my view of life with MS and talk about what I do but not giving advice for anyone to follow but me. Make sure your healthcare professional discusses any things you are thinking about trying out. Please give us a thumbs up, subscribe, rate, review, tell a friend, send questions and comments to kevintheduckpool@gmail.com and you can follow the Under the Cowl of MS podcast where you listen to your podcasts in which I talk about comic books, multiple sclerosis, video games, comic book readings, health and whatever comes to mind. #MS, #multiplesclerosis #mylife #mylifestyle #multiplesclerosisfighter #underthecowlofms #lymphedema #msneurologist #physicaltherapy #speech #uti #therapy #cooling #bladder #social #caretaker #nausea #heart #backpain #zinger #uti #spasticity #mshug #pain --- Support this podcast: https://podcasters.spotify.com/pod/show/kevin-kleinhans/support

I am very excited to talk about this topic because spasticity is one of those symptoms that is just, I think, the most frustrating and discouraging. One example is if you've noticed weakness from baclofen or weakness from botox when attempting to manage MS spasticity, this episode will explain why and give you MS exercises to help! There's lots of things that we can do to manage spasticity. So, let's dive in! Resources from this episode: The MSing Link Podcast - Episode 81 - Spotify / Apple The MSing Link Podcast - Episode 118 - Spotify / Apple The MSing Link Podcast - Episode 157 - Spotify / Apple The MSing Link Program Behind The Scenes Video Inside The MSing Link Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

On this week's episode we hosted a specialist in Physical Medicine and Rehabilitation, Dr. List and occupational therapist Briana Elson, MS, OTR/L, BCPR, CBIS to share insights on spasticity management, focusing on the use of neurotoxin injections and collaboration between physicians and therapists. Key discussion points included: When do you recommend medication versus injection for spasticity management? What do you consider when deciding on a treatment plan for someone with spasticity? What does botulinum toxin do versus what does it not do? When is it too early or too late for neurotoxin injections? Is there research showing that earlier treatment with neurotoxins can prevent symptoms from worsening? Are neurotoxins typically covered by insurance for people? How do you differentiate between spasticity and hypertonicity? What's the best way to get a good outcome when injecting for contractures? Do people need neurotoxin injections continuously to manage spasticity, or do some only need it temporarily? When do you decide that intrathecal baclofen might be necessary instead of injections? How do you respond to concerns about weakness from neurotoxin injections? Does neurotoxin treatment help with pain associated with spasticity? What's the best way for therapists to communicate with physicians about patient needs for spasticity management? Who can perform neurotoxin injections, and how can patients find a provider? This session highlighted the complexity of spasticity management and the need for a multidisciplinary approach. By combining medical interventions with therapy and ongoing assessment, we can help our patients achieve their functional goals and improve their quality of life.

Not too long ago, I asked my Instagram followers what they wanted a podcast episode on. And one topic that was repeated by multiple people was spasticity. But not only that, the difference between spasticity vs. muscle tightness. And there were also some people who wanted to learn about muscle spasms. So I'm going to throw that in here as well! Let's dive in! Mentioned Resources in this episode: The MSing Link- Episode 81 Apple Podcast & Spotify The MSing Link Episode 118 Apple Podcast & Spotify Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Join us this episode for a conversation with Dr. Sina Sangari of the Shirley Ryan AbilityLab for a conversation about the paper titled "Spasticity Predicts Motor Recovery for Patients with Subacute Motor Complete Spinal Cord Injury" published in the journal Annals of Neurology. Regardless of the functional implications of spasms, Dr. Sangari and his colleagues explain the prognostic value that spasticity, early after an acquired spinal cord injury, can have in predicting recovery of volitional motor function. We hope you enjoy this scholarly episode that offers a fresh take on the classic topic of spasticity.

Join us this episode for a conversation with Dr. Sina Sangari of the Shirley Ryan AbilityLab for a conversation about the paper titled "Spasticity Predicts Motor Recovery for Patients with Subacute Motor Complete Spinal Cord Injury" published in the journal Annals of Neurology. Regardless of the functional implications of spasms, Dr. Sangari and his colleagues explain the predictive value that spasticity, early after an acquired spinal cord injury, can have in predicting recovery of volitional motor function. We hope you enjoy this scholarly episode that offers a fresh take on the classic topic of spasticity.

Join us in this week's episode by welcoming back Dr. Gretchen Hawley, PT, creator of the MSing Link. With her broad knowledge and specialization in MS, we will dive deeper into her research, recent findings, and more.  This week we focus on:  How vibration and perturbation training increases proprioception and reduces the risk of falls. More research updates on treating spasticity. Aerobic exercise and its benefits on supporting neuroplasticity. The impact of treating comorbidities to improve overall health and how that can also help with MS symptoms. Tune in now and learn more about MS and stay up-to-date on the latest research! You can find Dr. Gretchen's work and website at www.doctorgretchawley.com

On today's episode, we talk about symptom management for spasticity in addition to the different types of spasticity and similar symptoms. This episode is chock full of his best recommendations for therapies and medications. Dr. Barry Singer is the director and founder of The MS Center for Innovations in Care at Missouri Baptist Medical Center. He is an Associate Professor of Clinical Neurology at Washington University School of Medicine. Dr. Singer earned his undergraduate degree from Duke University and his medical degree from Columbia University College of Physicians and Surgeons. He completed neurology residency at New York Hospital-Cornell University and a neuroimmunology fellowship at the National Institutes of Health. He has been an investigator in greater than 35 multiple sclerosis trials focused on new therapeutic options including remyelination. He serves on the Board of Directors of the Multiple Sclerosis Association of America since February 2016 and has a position on its executive committee. His award-winning MS patient education website www.mslivingwell.org started in 2007 has been a valuable resource in 200 countries. Dr. Singer is the host of the MS Living Well podcast. Dr. Barry Singer's website:https://www.mslivingwell.org/ MS Living Well with Barry Singer MD on Apple Podcasts HERE MS Living Well with Barry Singer MD on Spotify: https://open.spotify.com/show/6uIJrnioqBBzutks26bZth Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Wherever you are on your multiple sclerosis journey, there are many reasons to be optimistic about the future of mobility. Our experts, both holding doctorates in physical therapy, offer invaluable guidance on enhancing your walking abilities through targeted exercise and specialized therapy. Learn how to reduce the risk of falls, alleviate spasticity, and build endurance for a more active life. Cutting-edge technology, from wearable electrical stimulation devices to incredible exoskeletons, are revolutionizing mobility for those living with MS. Discover how neuromodulation, in conjunction with physical therapy, can pave the way for new neural pathways. Virtual reality and anti-gravity treadmills are redefining therapy options for those people with advanced MS. Moreover, gain insights into conquering travel challenges, empowering individuals living with multiple sclerosis to venture out into the world. Barry Singer MD, Director of The MS Innovations in Care, interviews Gretchen Hawley DPT, The MSing Link and Annie Morrow DPT, Director of the Stephen A. Orthwein Center.

Neuro rehabilitation specifically helps patients who have suffered from an event like a stroke or other neurological injury. First Physicians Group Physiatrist Ryan Hafner, MD specializes in spasticity management, and explains why seeking Neuro rehab early can help patients get back to their lives.You can also watch the video recording on our YouTube channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.

Spasticity can be present in many of the conditions we treat as occupational therapy professionals. And, it can add significant cost and burden for our patients. The article we are discussing in this 1-hour course gives you a big picture overview of the science behind what we know (and don't know!) about spasticity. You'll find certain approaches (that I've personally used!) that have NOT been supported by the research—but also which modalities have a growing body of evidence behind them. After reviewing the research, we'll be joined on the podcast by neuro OT, Scott Thompson, OTD, MOT, OTR/L, CRSR, LSVT-BIG to discuss implications for your practice! In order to earn credit for this course, you must take the test within the OT Potential Club.You can find more details on this course here:https://otpotential.com/ceu-podcast-courses/ot-spasticity-adultsHere's the primary research we are discussing:Khan, F., Amatya, B., Bensmail, D., & Yelnik, A. (2019). Non-pharmacological interventions for spasticity in adults: An overview of systematic reviews. Annals of physical and rehabilitation medicine, 62(4), 265–273. Support the show

How burdensome is spasticity for patients with MS? What's the approach to treatment, and how effective is it? What do patients and clinicians need to know about cannabis-based therapies? These are the key questions Program Director Dr. Michael Kornberg from the Johns Hopkins School of Medicine discusses with guest MS spasticity experts in this second part of this eMultipleSclerosis Review Special Edition. Take our post-test to claim CME credits.To read a companion newsletter click here. Hosted on Acast. See acast.com/privacy for more information.

How burdensome is spasticity for patients with MS? What's the approach to treatment, and how effective is it? What do patients and clinicians need to know about cannabis-based therapies? These are the key questions Program Director Dr. Michael Kornberg from the Johns Hopkins School of Medicine discusses with guest MS spasticity experts in this second part of this eMultipleSclerosis Review Special Edition. Take our post-test to claim CME credits.To read a companion newsletter click here. Hosted on Acast. See acast.com/privacy for more information.

Episode 563 MS Monday episode in which we talk about Multiple Sclerosis stuff and whatever: Sugar Flush update, Eating Seasonally, Cheesecake, Low-Dose Naltrexone LDN, Spasticity. #MS, #MultipleSclerosis, #healthtalk, #MonSter, #brain Send comments, questions and tips to kevintheduckpool@gmail.com please help us out by rating and reviewing us and telling a friend.  Also check out audio and video versions of Crimson Cowl Comic Club & Under the Cowl podcasts. A fun variety of great people talk comic books, entertainment or whatever and you can see or hear me on many episodes of those podcasts as well with many more great episodes to come out in the future. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kevin-kleinhans/message Support this podcast: https://podcasters.spotify.com/pod/show/kevin-kleinhans/support

Episode 543 Multiple Sclerosis and Health episode in which we talk about: Parkinson's vs Multiple Sclerosis pt 2, Chronic Inflammation, Folic Acid, Parfaits that won't Spike Blood Sugars, Spasticity and Quality of Life. #MS, #MultipleSclerosis, #healthtalk, #MonSter I am not a doctor, always consult with your medical team before trying anything new or talked about. I just review and go over things I find or have been given. Send comments, questions and tips to kevintheduckpool@gmail.com please help us out by rating and reviewing us and telling a friend. Also check out audio and video versions of Under the Cowl of MS, Crimson Cowl Comic Club & Under the Cowl podcasts. A fun variety of great people talk comic books, entertainment or whatever and you can see or hear me on many episodes of those podcasts as well with many more great episodes to come out in the future. --- Send in a voice message: https://podcasters.spotify.com/pod/show/kevin-kleinhans/message Support this podcast: https://podcasters.spotify.com/pod/show/kevin-kleinhans/support

On today's episode, we're diving into the ins and outs of spasticity. You'll finish this episode feeling prepared with actionable steps to improve your mobility and muscle tightness to improve your energy and therefore, do more in your daily life. Dr. Mitzi Joi Williams is a Board-Certified Neurologist and Fellowship trained Multiple Sclerosis Specialist who serves as the Founder & CEO of the Joi Life Wellness Group Multiple Sclerosis Center in Smyrna, GA. She is considered a subject matter expert in Neurology, Multiple Sclerosis, and Health Disparities. Dr. Williams has over 15 years of experience in the field of Multiple Sclerosis. She received her undergraduate degree in Neuroscience and Behavioral Biology from Emory University in Atlanta, GA, and received her Doctor of Medicine Degree from Morehouse School of Medicine also in Atlanta, Georgia. She completed her Internal Medicine Internship, Neurology Residency, and Multiple Sclerosis Fellowship at Georgia Health Sciences University (formerly MCG) in Augusta, GA, where she received numerous accolades and served as Chief Resident of the Neurology Residency Program. Connect with Dr. Mitzi: IG: @thenerdyneurologist FaceBook: @thenerdyneurologist LinkedIn: https://www.linkedin.com/in/drmitzijoimd/ Website: https://joilifewellness.com/ Book: https://www.amazon.com/You-Live-Well-Multiple-Sclerosis/dp/B0BSJ6DKTM/ref=sr_1_1?crid=30GV487RN869W&keywords=you+can+live+well+with+multiple+sclerosis&qid=1677878626&sprefix=You+Can+Live+Well+%2Caps%2C89&sr=8-1 Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Spasticity is a common symptom affecting many people with neurological diseases, including those with MS. Although the stiffness associated with spasticity can sometimes be helpful when performing daily activities such as getting in and out of a wheelchair or walking, spasticity can also be a nuisance and even lead to serious health concerns. The good news is that there are a growing number of treatments available to help ease the burden of troublesome spasticity. Join Dr. Ileana Howard to learn more about spasticity and MS.

Stroke survivors with physical deficits have to fight to get the muscles moving again. They also have to fight to stop some muscles from moving. Tone and spasticity are why our elbows curl, our fists squeeze tight, and our toes can curl under our feet so we crush our own toes as we walk. Dr. Wayne Feng is an expert in tone and spasticity after stroke and he joins us this week to explain how we can address these challenges If you don't see the audio player below, visit Strokecast.com/MSN/ToneBasics to listen to the conversation. Click here for a machine-generated transcript Who is Dr. Wayne Feng? From Dr. Feng's Duke Profile: I am the division chief for Stroke and Vascular Neurology in the Department of Neurology at Duke Health. I see stroke patient in the emergency department, inpatient service as well as in the outpatient clinic. I also treated post-stroke limb spasticity, a disabling complication after stroke. In addition to the patient care, I also run a brain modulation and stroke recovery lab at the Duke University campus to study stroke patients in my lab to develop new stroke recovery therapy. On my days off, my boys and I are big on fishing. I enjoy drinking and collecting tea. As a stroke doctor, I do not drink coffee at all (there is a reason for it). If you come to see, I will tell you. Current Appointments and Affiliations: Professor of Neurology, Neurology, Stroke and Vascular Neurology 2019 Chief of Stroke & Vascular Neurology in the Department of Neurology, Neurology, Stroke and Vascular Neurology 2019 Professor of Biomedical Engineering, Biomedical Engineering 2022 [youtube https://www.youtube.com/watch?v=SGeOGI2bry4&w=560&h=315] Tone and Spasticity Overview Mos of our limbs move because of the interaction between two types of muscles -- extensors and flexors. The flexors contract to bend a limb. The extensors contract to extend the limb. For example, the biceps are flexors. They pull our forearm up or into an angle. When people want to show off their arm muscle, the flex their arm -- they activate their flexors. The triceps on the back of the upper arm are extensors. When they activate, they extend the arm -- they pull the arm straight.  When flexors contract extensors relax. When extensors contract, flexors relax. That's how we control our limbs. After stroke, the flexors can activate on their own. And they can be, well, overenthusiastic, in those actions. That happens because the default behavior of the flexors is to be active and curl up. When we talk about curling up into the fetal position, that's most of our flexors activating. The reason we can go through life upright and with our limbs straight is that the cortex of the waking brain is constantly suppressing the normal contracting of the flexors. After stroke impacting the motor cortex of the brain, the corticospinal tract is disconnected. With that disconnect, the brain can no longer suppress the flexors so they do what they do -- they contract and curl and cause all sorts of problems. Peripheral vs Cortical Problems Categorizing issues as cortical or peripheral is a fancy way of saying brain or limb. A stroke is a cortical issue. The problem exists in the brain. That's where the disconnect happens. A peripheral issue is when something goes wrong in the limb. Shoulder subluxation, for example, is peripheral issue. Most PT and OT works with the limbs to treat the cortical issues. Tone and spasticity are caused by cortical issues. The long-term problems caused by tone and spasticity are peripheral issues. One of those peripheral issues is contracture. When tone and spasticity is severe and long term, the muscles, tendons, ligaments, and other soft tissue can actually shrink in the contracted position. When that happens, getting the extensors back online and suppressing the flexors no longer  helps. The limb can become almost permanently bent. Repairing peripheral issues, like contracture, may require surgery to sever and extend tendons and other tissue. Preventing and Treating Tone and Spasticity The first line of defense is in the immediate short-term after stroke. Getting the limbs moving and keeping them moving to drive the neuroplastic change of recovery helps. Beyond that, and once tone and spasticity set in, regular stretching is critical. A survivor needs to keep stretching those limbs to prevent contracture. That's why in conference calls and interviews, I'm often stretching my fingers back and my wrist back to counteract the tone and spasticity in my left arm and hand. Medication can help, too. Baclofen is a popular choice. It's basically a muscle relaxer that helps counteract the excessive action in my flexors. Some people find it can cause drowsiness so it's not the best choice for everyone. I tend to take my Baclofen before going to bed. If it makes me drowsy then that's great. It also helps reduce the tone I might experience overnight. For folks with severe tone and spasticity, a surgically implanted Baclofen pump can help. The medicine directly target the key muscles which means the patient needs much less medicine for a much greater impact. Since it is a low dose, it is less likely to induce the fatigue, too. Other medications to treat tone and spasticity include: Tizanidine Flexeril Gabapentin Botox, Dysport, and Xeomin are also treatments that can help. These are neurotoxins that a doctor can inject every three to four months. By delivering the toxins to the flexors, it reduces their ability to flex. That gives the extensors a chance to recover and rebuild a normal relationship. Of course, this is a short-term solution. Combined with exercise, it can definitely help. I'm probably overdue for my next Dysport treatment. Contralateral C7 Nerve Transfer for Stroke Recovery: New Frontier for Peripheral Nerve Surgery A promising area for relieving tone and spasticity is C7 nerve transfer. Recent studies are showing promising results. Neurosurgeons split the a nerve from the unaffected side of the brain that runs through the spine and reconnect half of it to the equivalent nerve on the affected side. The do this in the neck. Results show a quick reduction in tone and spasticity even in patients 15+ years after stroke. After a year, patients are experiencing improved use of the limb, too. The number of people in the studies so far is pretty small (36) and more research is needed. It is a promising result, though, and builds on techniques that have been used to treat non-stroke injuries. It also highlights the tremendous ability of the brain to adapt since now the unaffected side starts to control the affected side of the body. You can read a review of the technique and studies at the Journal of Clinical Medicine. Vagus Nerve Stimulation In 2021, I spoke with Dr. Jesse Dawson, a Professor of Stroke Medicine and Consultant Physician in the Queen Elizabeth University Hospital in Scotland about his research in Vagus Nerve Stimulation. This research is now being commercialized and used to treat patients in the US. The therapy involves surgically implanting a stimulator in a patient's chest that connects to the Vagus nerve. During PT or other exercises, the device sends an electric signal to the Vagus nerve. Stimulating the nerve while doing therapy has shown positive results in terms of limb use. It's interesting because it's not treating the Vagus nerve itself, but stimulating this nerve appears to make the other nerves in the brain more receptive to the therapeutic exercises. You can learn more about this research here: http://Strokecast.com/VNS. Survey What do you think of the Strokecast? Let me know what you like and what you would like to be different by completing the survey at http://Strokecast.com/Survey. I would really appreciate it. If you complete the survey by March 31, 2023, you could win a $25 Amazon gift card, too. Hack of the Week Hand grip exercisers are nice tools to encourage stretching and exercise throughout the day. These things are like a pair of pliers without the tool end. They are spring loaded. You squeeze them to exercise and they try to force your hand open. You can get them in a variety of strength levels. Start with light weight ones and move on to tougher ones as your strength improves. What I like about them is that closing a fist comes back before opening one. Closing your fist takes work. Opening your fist is often harder, but these gadgets force the hand open. So you get to practice the squeeze and you get a stretch into fingers, too, to address tone and spasticity. It's also one more way to reduce the odds of developing a contracture. Here are a couple options: https://strokecast.com/Hack/HandExerciserTraditional (Traditional design)* https://strokecast.com/Hack/HandExerciserAdjustable (Adjustable resistance)* Links Where do we go from here? Check out Dr. Feng's work at Duke University Share this episode with someone you know by giving them the link http://Strokecast.com/ToneBasics Complete the Strokecast survey at http://Strokecast.com/Survey Don't get best…get better More thoughts on Tone and Spasticity

Spasticity is one of the most common symptoms of MS, impacting up to 80% of the people living with MS. It can feel like mild muscle tightness that you wish would just go away or it can be so painful and debilitating that it keeps you from moving. Dr. Michelle Cameron joins me in this episode to discuss what spasticity is and how to best manage it. Dr. Cameron is a neurologist and physical therapist, a professor in the Department of Neurology at Oregon Health & Science University, Interim Chief of Neurology at the VA Portland Healthcare System, and Co-Director of the VA MS Center of Excellence West. We're also talking about a new framework for thinking and talking about MS that's been proposed by an international panel of MS experts. We'll tell you about a study that looked at polypharmacy and MS (Of course, we'll also tell you what polypharmacy is and why you should be aware of it!) We'll share the details around the discovery of human antibodies that have been shown to prevent Epstein-Barr infection (And we'll explain why this could be incredibly important) If you're an MS caregiver, or you know one, I'm asking for just 5 minutes of your time. We're celebrating National Caregivers Month by breaking down the details of the National Family Caregiving Strategy that was recently submitted to Congress. And we're celebrating the indomitable quality of the human spirit by sharing the story of Eric Domingo Roldan and his mom, Sylvia. We have a lot to talk about! Are you ready for RealTalk MS??! Thanksgiving is two days away!  :22 This Week: Managing Spasticity  1:02 Experts propose a new framework for thinking about and talking about MS  2:07 Polypharmacy and MS  5:55 Researchers identify antibodies that prevent Epstein-Barr Virus infection  9:02 If you're an MS caregiver, or you know one, can I have 5 minutes of your time?  11:30 The 2022 National Family Caregivig Strategy   13:55 Eric Domingo Roldan and his mom, Sylvia, make it into the Guinness Book of World Records  16:34 Dr. Michelle Cameron discusses spasticity and MS 18:40 Share this episode  33:55 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/273 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com Multiple Sclerosis Progression: Time for a New Mechanism-Driven Frameworkhttps://www.thelancet.com/journals/laneur/article/PIIS1474-4422(22)00289-7/fulltext Tremlett's MS Research Explained: Polypharmacy and Multiple Sclerosis: A Population-Based Study https://tremlettsmsresearchexplained.wordpress.com/2022/10/27/polypharmacy-and-multiple-sclerosis-a-population-based-study/ STUDY: Polypharmacy and Multiple Sclerosis: A Population-Based Study https://journals.sagepub.com/doi/full/10.1177/13524585221122207 RealTalk MS Episode 229: Evidence Shows MS Is Triggered by the Epstein-Barr Virus with Dr. Kassandra Munger and Dr. AJ Joshi https://realtalkms.com/229 RealTalk MS Episode 231: Evidence Shows EBV Triggers MS: Understanding the Impact of this Breakthrough Research with Dr. Bruce Bebo https://realtalkms.com/231 STUDY: Epstein-Barr Virus gH/gL Has Multiple Sites of Vulnerability for Virus Neutralization and Fusion Inhibition https://cell.com/immunity/fulltext/S1074-7613(22)00544-1 Take the iConquer MS Caregiver Survey https://realtalkms.com/caregiver 2022 National Strategy to Support Family Caregivers https://acl.gov/sites/default/files/RAISE_SGRG/NatlStrategyToSupportFamilyCaregivers.pdf Eric Domingo Roldan's Instagram Handle @eeRiicbcn Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 273 Guest: Dr. Michelle Cameron Tags: MS, MultipleSclerosis, MSResearch, MSSociety, RealTalkMS Privacy Policy

Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, reads a news article about a clinical trial where electrical stimulation of the brain eased some measures of spasticity for people with relapsing-remitting MS. 
He also reads “MS News Notes: aHSCT, Iron Rim Lesions, Smell Test, Electrical Brain Stimulation” by Ed Tobias, from his column “The MS Wire”. =================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

Any injury or illness that affects the spinal cord can cause spasticity, an increase in muscle stiffness that can lead to immobility. Bobby Brunner, MD, a physiatrist, discusses some common disorders that result in spasticity and the wide spectrum of its severity. He walks us through the considerations a physiatrist would make in determining how to address spasticity. Dr. Brunner discusses a progression of treatment options for spasticity: physical therapy, injection therapies, pump system implantation, and surgery.

Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, discusses how Baclofen, an approved therapy for spasticity in multiple sclerosis patients, promoted myelin repair in preclinical models of the disease. He also reads “MS and Sex: Everything You Wanted to Know but Were Never Told to Ask”, a column by John Connor. =================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

Interview with Dr. Edelle Field-Fote about her group's paper “ Characterizing the Experience of Spasticity after Spinal Cord Injury: A National Survey Project of the Spinal Cord Injury Model Systems Centers” published in Archives of Physical Medicine and Rehabilitation in 2022.   Join DiSCIS hosts Kristen Cezat, PT, DPT, NCS and Uzair Hammad, PT, DPT as we learn more about this new and exciting work! For the transcript of the podcast click here. The Spinal Cord Injury Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org

Before sitting down to record this episode, I asked The MSing Link members as well as those in my public MS support Facebook page what topic they would like to hear more about. And there was a resounding response to know more about spasticity! So, join me today as I share with you what it is exactly, different techniques you can do at home to reduce it, and different ways your neurologist may approach treatment. Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: Gretchen@DoctorGretchenHawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Brain Chat welcomes Dr. Mitzi's amazing mentor Dr. Mary Hughes and another super friend Dr. Jacqueline Nicholas to this episode to discuss spasticity. They talk muscle tightness, cramps, and what causes them, but most importantly what you can do about it!

Episode 449 Wellness Wednesday episode in which we talk about Multiple Sclerosis stuff, making and designing a Safe Home Environment (sorry about how I sound while dealing with spasticity issues) and more for Multiple Sclerosis Health and MS. Send comments, questions and tips to kevintheduckpool@gmail.com please help us out by rating and reviewing us and telling a friend. Also check out audio and video versions of Crimson Cowl Comic Club & Under the Cowl podcasts. A fun variety of great people talk comic books, entertainment or whatever and you can see or hear me on many episodes of those podcasts as well with many more great episodes to come out in the future. --- Send in a voice message: https://anchor.fm/kevin-kleinhans/message Support this podcast: https://anchor.fm/kevin-kleinhans/support

Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, reads the news article on how a man-made molecule was able to promote myelin repair in a mouse model of MS. He also reads “A Friend Under the Skin: My Intrathecal Baclofen Pump” by Benjamin Hofmeister, from his column "Chairborne". =================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, discusses how new U.S. enrollments in Phase 3 trials of tolebrutinib for MS have been paused due to some reports of liver injury. He also reads “Trial Results a Setback for US Approval of Nabiximols for MS Spasticity” from Ed Tobias' column “The MS Wire.” =================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

In this Issue: Fatigue. Urinary dysfunction. Constipation. Spasticity and gait problems. Providing relief from these common MS symptoms often requires clinicians to go beyond the prescription pad to recommend nonpharmacologic treatments. What works? What doesn't? What does the evidence say? Join us as Dr. W. Oliver Tobin from the Mayo Clinic discusses these questions in this eMultipleSclerosis Review podcast.Take our post-test to claim CME credits.To read a companion newsletter click here. See acast.com/privacy for privacy and opt-out information.

In this Issue: Fatigue. Urinary dysfunction. Constipation. Spasticity and gait problems. Providing relief from these common MS symptoms often requires clinicians to go beyond the prescription pad to recommend nonpharmacologic treatments. What works? What doesn't? What does the evidence say? Join us as Dr. W. Oliver Tobin from the Mayo Clinic discusses these questions in this eMultipleSclerosis Review podcast.Take our post-test to claim CME credits.To read a companion newsletter click here. Hosted on Acast. See acast.com/privacy for more information.

What is the best way to manage spasticity in patients with MS? Join Dr Cameron, Dr Saulino, and Ms Weigel as they discuss approaches to spasticity management. Credit available for this activity expires: 5/4/2023 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/973338?src=mkm_podcast_addon_973338

This week Dr. Gretchen sits down with MSing Link member Jeanette! Jeanette has seen great improvements by being a part of the program, but also had some very relatable questions when it came to things such as spasticity, MS progression, and walking on uneven surfaces. Tune in to hear Dr. Gretchen answer Jeanette's questions and provide strategies on how to not only conquer situations such as uneven surfaces, but also how to see improvements! Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: Gretchen@DoctorGretchenHawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

Dr. GG deFiebre of SRNA was joined by Dr. Miguel Escalón for an Ask the Expert podcast on "Managing Spasticity with a Baclofen Pump." Dr. Escalón began by giving an overview of spasticity, tone, and treatment options. He explained how the baclofen pump works, its advantages, and the impact on neurogenic bladder and bowel function. Next, Dr. Escalón described the initial surgical procedure, recovery process, and potential risks. Finally, he discussed long-term operation and maintenance, as well as safety measures and how pregnancy might impact the baclofen pump.

Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, explains how administering NG-01 stem cell therapy directly into the spinal canal of patients with active progressive MS, reduced NfL levels. Price also reads “MS News That Caught My Eye Last Week: aHSCT, Skin Cancer, Spasticity, NfL Blood Test”, from Ed Tobias' column, "The MS Wire". =================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

On this episode of Medical Monday Craig Escude M.D. explains spasticity in individuals with developmental disabilities. You can learn more at replacingrisk.com    More Friends for Life Here: https://bit.ly/3m0Pec7 

On today's episode, Fatimah talks with special guest Dr. Joanne Delgado, who is a physiatrist and spinal cord injury specialist from Florida. Dr. Delgado discusses medical management of spinal cord injury, both acute and chronic, and how comprehensive care is the key to quality of life after spinal cord injury. You don't want to miss this rare opportunity to hear valuable information directly from a physician who has extensive training, education, and experience with spinal cord injury! Highlights from the episode: - Constipation and bowel health, plus Dr. Delgado's honest opinion on laxatives - Spasticity management - UTIs and bladder dysfunction - Emotional aspects of life with spinal cord injury Connect with Fatimah Fakhoury: Instagram: @paralysis.nutrition Facebook: @Paralysis Nutrition

Multiple Sclerosis News Today's columnist, Jenn Powell, discusses a phase 3 trial of Sativex, a cannabis extract, for MS spasticity. Multiple Sclerosis News Today's multimedia associate, Price Wooldridge, reads the column by Ed Tobias, MS Wire, “MS Paralympian Aims for a Bull's-eye”. =================================== Treatment for Relapsing MS Progression | MAYZENT® (siponimod) Read about MAYZENT, a once daily pill that can significantly slow down disability progression in people with relapsing MS. See full prescribing & safety info. https://www.mayzent.com/?utm_source=changeinrms&utm_medium=vanityurl&utm_campaign=novartis_mayzent_2020&utm_content=soundcloud ===================================== Are you interested in learning more about multiple sclerosis? If so, please visit: https://multiplesclerosisnewstoday.com/ ===================================== To join in on conversations regarding multiple sclerosis, please visit: https://multiplesclerosisnewstoday.com/forums/

Measuring Spasticity Noggins And Neurons Facebook Group PETE: So, are we sorta kinda ready? DEB: Yeah, ready or not...here I come PETE: We're never gonna outgrow this, are we? DEB: No PETE: It's just gonna be like this forever...OK...so, hey, Deb Battistella, how you doin'? DEB: Pete Levine, I'm great, how are you? PETE: Oh, by the way, American College of Rehabilitation Medicine...I'm doing a talk for them in September. So, if you're a member of ACRM or you're planning to go, you should go to my talk! Thanks! That was a public service announcement from one of the co-hosts who was self-promoting his own stupid talk even though he doesn't make any money off it. So, don't worry about that, just come to his talk. Thank you very much. EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified, Pete and Deb talk about measuring spasticity. We start with a rabbit hole of sorts where we discuss the problem of home care OT's not addressing client and caregiver needs when cognition is involved and overall therapist abuse by rehab companies. Here's more detail about our conversation: We talked about a problematic, current, real-life scenario where OT discharged a patient who would still benefit from skilled OT Pete mentioned professional association advocacy that doesn't seem to be working We learned there is a time of day when spasticity isn't present Pete mentioned reasons why it's important to use spasticity measurement scales rather than observation Deb sought further clarification on spasticity, ROM and contractures - and yes, I've been an OT for over 20 years We talked about spasticity measurement scales and how to perform them As always, we want to hear your top takeaways! LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION: Spasticity declines during sleep, most of the time. Testing Spasticity: The Modified Ashworth Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis Shirley Ryan Ability Lab – Ashworth Scale/Modified Ashworth Scale Assessment and Treatment of Spasticity Frenchay Activities Index-Shirley Ryan Ability Lab Questions and Comments about the podcast? NogginsAndNeurons@gmail.com NogginsAndNeurons: The Website Donate to The Noggins And Neurons Podcast: Venmo @neurons Pete's blog, book, Stronger After Stroke, and talks. Blog Book:Stronger After Stroke, 3rd edition Pete's talk for the American College of Rehabilitation Medicine.     Deb's OT Resources: Deb's OT resources The OT's Guide to Mirror Therapy Tri-Fold Mirror (US address only) Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you're passionate about stroke recovery and have information or a story you believe will help others, we'd love help you share it on the show. Complete the guest request form below and let's see if we're a good fit!   Guest Request Form Music by scottholmesmusic.com  

OVERVIEW: Now the one thing that they do have is finger flexion. And often therapists think you cannot let them flex their fingers because if you do you will strengthen the overwhelmingly strong flexors; and if you do that you will make the spasticity worse – which is NOT true. Spastic muscles are weak so even if you strengthen them it wouldn't be the end of the world. But you're not trying to strengthen them; you're just trying to activate them. How are you gonna re-establish brain control over the finger flexors if you don't allow them to flex the fingers? But what about a ball – a squishy ball? Who doesn't like a squishy ball? You squish into the ball, it re-establishes brain control over the flexors thereby reducing spasticity. That's the whole thing. EPISODE SUMMARY: This episode of NOGGINS & NEURONS: Stroke and TBI Recovery Simplified is all about spasticity. In this deep dive we learn: What spasticity is and is not That spasticity is under-treated The impact of untreated spasticity on the body and survivor quality of life Understanding spasticity from the Neuroplastic Model Pete shares his in-depth knowledge about spasticity in this informative episode of Noggins And Neurons. Deb's brain kicks into OT gear and attempts to process information Pete shares – some of it as she hears it for the first time. This must listen episode will change the way some of us think about spasticity while also giving everyone ways to think about it that will ultimately benefit the survivor. As always, we want to hear your top takeaways! LINKS TO ARTICLES, BOOKS AND OTHER IMPORTANT INFORMATION: Li, S. (2017). Spasticity, motor recovery, and neural plasticity after stroke. Frontiers in Neurology, 3, April 2017. doi: 10.3389/fneur.2017.00120 Naro, A., Leo, A., Russo, M., Casella, C., Buda, A., Crespantini, Au, Porcari, B., et. Al. (2017). Breakthroughs in the spasticity management: Are non-pharmacological treatments the future? Journal of Clinical Neuroscience 39 (2017) 16–27. Evidence for the "neuroplastic model of spasticity reduction" "The Neuroplastic Model of Spasticity Reduction" in a nutshell Motor learning therapy increased spastic muscle's contralesional cortical motor regions leading to decreased spasticity Intensive training in patients with increased muscle tone improves function without exacerbating spasticity  CIT decreases spasticity and “pathological” synergies CIT reduces spasticity 2017 CIT reduces spasticity2013 CIT reduces spasticity and increases functional use CIT increases strength and decreases spasticity Questions and Comments about the podcast: NogginsAndNeurons@gmail.com DONATE TO NOGGINS & NEURONS: Donate to Noggins And Neurons and get an Allstar Pete Trading Card Using your PayPal app:   RESOURCES: Pete's blog, book, Stronger After Stroke,  and  talks. Blog Book: Stronger After Stroke, 3rd edition Pete's talk for the American College of Rehabilitation Medicine. Deb's OT Resources: Deb's OT resources The OT's Guide to Mirror Therapy Tri-Fold Mirror (US address only) Occupational Therapy Intervention: Scavenger Hunt Visual Scanning for Adults REQUEST TO BE A GUEST ON NOGGINS & NEURONS. If you're passionate about stroke recovery and have information or a story you believe will help others, we'd love help you share it on the show. Complete the guest request form below and let's see if we're a good fit!   Guest Request Form MUSIC: “Soft Inspiration” by Scott Holmes/Scott Holmes Music/scottholmesmusic.com ✨Google Podcasts  ✨iTunes    ✨Spotify

Let us know what you thought of this week's episode on Twitter: @physicianswkly Want to share your medical expertise, research, or unique experience in medicine on the PW podcast? Email us at editorial@physweekly.com! Thanks for listening!

GG deFiebre of SRNA is joined by Dr. Jacqueline Nicholas for an ABCs of NMOSD podcast on "Symptom Management: Spasticity." Dr. Nicholas begins by explaining spasticity and tone and how it is affected by NMOSD. She discusses the causes of spasticity and why some people experience it while others do not. She describes first-line and second-line treatments for spasticity and how exercise can help. Dr. Nicholas explains how spasticity can affect ligaments, muscles, and bones.